Evidence map›Paper›PMID 32281000›Full record

ArticleActa diabetologica2020

TNFR1 is associated with short-term mortality in patients with diabetes and acute dyspnea seeking care at the emergency department.

P Wändell, A C Carlsson, A Larsson, O Melander, T Wessman, J Ärnlöv, T Ruge

Open access · hybridAbstract read
In one paragraph

Article in Acta diabetologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 50% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

P WändellDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden. per.wandell@ki.se.
A C CarlssonDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
A LarssonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
O MelanderDepartment of Emergency and Internal Medicine, Skånes University Hospital, Malmö, Sweden.
T WessmanDepartment of Emergency and Internal Medicine, Skånes University Hospital, Malmö, Sweden.
J ÄrnlövDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
T RugeDepartment of Emergency and Internal Medicine, Skånes University Hospital, Malmö, Sweden.
Karolinska Institutet · SELund University · SEDalarna University · SESkåne University Hospital · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCirculating levels of TNF alpha receptor 1 (TNFR1) and 2 (TNFR2) are associated with increased long-term mortality and impaired kidney function.

aimTo study association between circulating levels of TNFR1 and TNFR2 and short-term mortality in patients with diabetes and dyspnea. POPULATION AND

methodsPatients aged ≥ 18 years seeking at emergency department (ED) during daytime on weekdays between December 2013 and July 2018, with diabetes and acute dyspnea, identified at the triage process, were included. Participants (n = 291) were triaged according to Medical Emergency Triage and Treatment System-Adult score, and blood samples were collected. Association between TNFR1 and TNFR2, respectively, and 90-day mortality were estimated by Cox regression models adjusted for age, sex, BMI, creatinine and CRP.

resultsUnivariate models showed significant associations between TNFR1 and TNFR2, respectively, and CRP, age and creatinine. TNFR1 and TNFR2 tended to be elevated in patients with the highest triage level, compared to patients with lower triage levels (ns). In longitudinal analyses, TNFR1 but not TNFR2 was associated with increased short-term mortality, HR adjusted for age, BMI and creatinine 1.43 (95% CI 1.07-1.91), but not in the model also adjusted for CRP, HR 1.29 (95% CI 0.94-1.77). In secondary analysis for quartile 4 versus quartiles 1-3 of TNFR1, corresponding HRs were 2.46 (95% CI 1.27-5.15) and 2.21 (95% CI 1.07-2.56).

conclusionsWe found a trend for the association between circulating TNFR1 levels and short-term mortality in patients with diabetes and acute dyspnea at the ED, possibly suggesting an inflammatory pathway for the association.

Indexed as

Acute DiseaseAdultAgedAged, 80 and overBiomarkersCross-Sectional StudiesDiabetes MellitusDyspneaEmergency Service, HospitalFemaleHospital MortalityHumansMaleMiddle AgedPrognosisReceptors, Tumor Necrosis Factor, Type IBiomarkersReceptors, Tumor Necrosis Factor, Type IDiabetesMortalitySoluble tumor necrosis factor alpha (TNFR)Triage level

Identifiers

PMID32281000
PMCPMC7496043
OpenAlexW3015407054

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.